Reason for Visit: Bilateral Elbow Pain and left Wrist Pain S: TM works in GA Trim 1. According to TM his both elbows and forearm area stared to have trouble gripping and picking up wires since late February. Also he was experiencing numbness and tingling sensation I his left hand. For the past several days his elbow pains were gradually getting worse that’s when he decided to come to the HMMA medical clinic; TM reports Tenderness at origin of wrist extensors, denies any difficulty with ROM. O: Inspection of elbows - No edema, discoloration, or swelling noted; Pain near the elbow when the wrist is bent forward; tenderness at origin of wrist flexor tendons; increased pain with resisted wrist flexion and pronation; Normal elbow range of motion;
On History- The patient was a 49-year-old Caucasian male with a chief complaint of pain and weakness in R shoulder abduction and external rotation (dominant shoulder). He was a retired baseball player. He has been a baseball pitcher for 12 years before he retired 5 years
There are approximately six types of EDS that have been distinguished but other types exist that are very uncommon. Classical, Hypermobile, Vascular, Kyphoscoliosis, Arthrochalasia, and Dermatosparaxis. Classical and Hypermobile make up over 90% of all reported cases of EDS. With the Classical type of EDS a person would have hyperextensible (stretchy) skin with widened atrophic scars and joint hypermobility. The skin is smooth and velvety with tissue fragility and easy brusability. Also evident are molluscoid pseudotumors (fleshy lesions associated with scars) frequently found over pressure points (e.g. elbows) and subcutaneous spheroids, which are commonly mobile and palpable on the forearms and shins. Complications of joint hypemobility include sprains, dislocation are common in the shoulder, patella and temporomandibular joints Muscle hypotonia and slower gross motor development also can occur It is inherited in an autosomal dominant manner (Clarke, D., Skrocki-Czerpak, K., Neumann-Potash, L.).
ACL Injuries in Athletes The Anterior Cruciate Ligament (ACL) attaches the femur, which is the thighbone, and the tibia, which is the shin, together (northstar). A torn ACL is one of the most excruciating experiences in an athlete’s life. It is the first thing that comes to mind when they hurt their knee on the field; for many it is their greatest fear. A torn ACL can sometimes mean the end of an athlete’s career.
Many amputees suffer from phantom limb, and phantom pain. Phantom limb can be described as the sensation of still having a certain body part and is moving accordingly (e.g. arm or leg) after the extremity has been amputated. People who experience phantom limb usually experience phantom pain, which is when the nerves at the end of amputated area cause pain or when a phantom limb seems stuck in an awkward or painful position. Ramachandran is a leading researcher in the field of phantom pain, and has done much research on mirror therapy and mirror neurons. On the other had Raffin shows research on phantom pain as well but in relation to motor imagery. Mirror therapy and motor imagery have both proven to be affective, and both have their advantages and disadvantages.
Musculoskeletal pain affects the bones, muscles, ligaments, tendons and nerves, its commonly but not always it is caused by physical injury, which can be widespread or localised in just one body part. Joint and muscle pain is the probably the number one symptom that prompts people to seek the help of health professionals like osteopaths.
Peripheral nerves are categorized as both sensory and motor which means they help provide sensations and move ligaments. These nerves attach to the spinal cord and run throughout the human body. Damaging these nerves may result in peripheral neuropathy. This condition is the degenerative state of the peripheral nerves. During this state, nerves may lose the ability to function therefore, causing multiple problems with one’s body. There are multiple causes to this condition and many can be avoided.
Carpal Tunnel Syndrome Abstract The wrist is surrounded by a band of fibrous tissue, which normally functions as a support for the joint. The tight space between this fibrous band and the wrist bone is called the carpal tunnel (The Stay Well Company, 1999). The median nerve passes through the carpal tunnel to receive sensations from the thumb, index, and middle fingers of the hand.
A hypothesis that can be made from the patient’s report is that she is suffering from cervical radiculopathy, or a nerve root lesion. Symptoms that describe cervical radiculopathy include: arm pain in a dermatome distribution, pain increased by extension, rotation, and/or side flexion, possible relief of pain from arm positioned overhead, affected sensation, altered hand function, no spasticity, and no change to gait or bowel and bladder function (Magee, 2008, p. 142). These symptoms correlate to what the patient reported as a result of her injury. She stated that her pain is in the posterolateral upper and lower arm with aching and paresthesia in the thumb and index finger, which is in the dermatome pattern of cervical root 5 and 6 (C5, C6) (Magee, 2008, p. 25). She also reports lancinating pain with extension or rotation to the right of her head.
It’s gymnastics practice. You’re supposed to be having fun as you practice and memorize every move, step and leap of your routine. But it seems that every time you land you get this pain, it feels like the plates in your heal are smacking and rubbing together. You can’t take a break, you have a gymnastics competition next week and you have to attend every practice in order to attend the competition. You can’t rest it at home because as soon as you finish your homework you have to stretch your muscles and practice even more. So this means you have to learn to land, tumble, and jump with this horrible pain in your foot. What happens when you keep landing and tumbling with the pain in your foot? Sever’s disease, every gymnasts worst nightmare,
Often this mechanical breakdown results in pain in the neck shoulders, arms, and hands and can be accompanied by numbness and tingling this is referred as burners and stingers.
X ray & MRI or ultrasound are usually used to show the swelling around the tendon and to detect that there is a another problem that could be causing the another symptoms
"Pain is the most common symptom and may be accompanied by joint stiffness, redness or swelling, and/or muscle tightness. Numbness and tingling may also occur. " (Murphey, 2017, pg. 5) Many of these symptoms correlate to issues such as "sonographers shoulder", carpal tunnel syndrome, tennis elbow, and neck and back strains. Once a sonographer develops musculoskeletal disorders (MSDs) they may no longer be able to work or accomplish unassuming respective routine tasks.
One tissue or structure can affect another structure biomechanically and it can also affect the other structure directly. Patient symptoms seem to be related to changes in their soft tissue that can be felt by hand. The practitioner will address this by identifying problems with motion, pressure or tension between adjacent tissues as well as observe how the muscles, fascia, tendons, ligaments and nerves respond to different types of work to ensure an effective outcome.
A sprain is a stretch or tear in the bands of tissue that hold bones and joints together (ligaments). Sprains of the lower back (lumbar spine) are a common cause of low back pain. A sprain occurs when ligaments are overextended or stretched beyond their limits. The ligaments can become inflamed, resulting in pain and sudden muscle tightening (spasms). A sprain can be caused by an injury (trauma), or it can develop gradually over time, due to overuse.